Prasad Dilan, Pennell Christopher, Arthur Lindsay Grier, Prasad Rajeev
Department of Pediatric General, Thoracic, and Minimally Invasive Surgery, Saint Christopher's Hospital for Children, Philadelphia, Pennsylvania, United States.
European J Pediatr Surg Rep. 2021 Jan;9(1):e1-e4. doi: 10.1055/s-0040-1721043. Epub 2021 Jan 27.
The most common congenital lung malformations are congenital pulmonary airway malformations and pulmonary sequestrations. Many surgeons advocate resection to prevent complications of infection, malignancy, and pneumothorax. The standard of care is lobectomy, but segmentectomy and embolization alone have been reported. These methods avoid the complications of lobectomy but are not widely practiced due to concerns about incomplete resection or involution of the lesion. We present a novel approach to the treatment of a pulmonary sequestration in a 7-month-old male using preoperative embolization followed by a sublobar pulmonary resection. The embolization clearly demarcated the affected lung intraoperatively, thereby facilitating complete removal of the lesion with a segmental lung resection rather than complete lobectomy.
最常见的先天性肺畸形是先天性肺气道畸形和肺隔离症。许多外科医生主张进行切除以预防感染、恶变和气胸等并发症。标准治疗方法是肺叶切除术，但也有报道称可单独进行肺段切除术和栓塞术。这些方法可避免肺叶切除术的并发症，但由于担心病变切除不完全或退化，尚未广泛应用。我们介绍一种治疗一名7个月大男性肺隔离症的新方法，即术前栓塞，然后进行肺叶下切除术。栓塞术在术中清晰地界定了受影响的肺组织，从而便于通过肺段切除术而非全肺叶切除术完整切除病变。
